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The Brentwood Regional Transfusion Centre began handing AIDS leaflets to each donors as they registered and told them that it was "most important" to read the leaflet.

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The Brentwood Regional Transfusion Centre asked donors to confirm whether they were in an at-risk group rather than being explicitly questioned about sexual practices.

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A memo from the Regional Donor Organiser advised colleagues that AIDS leaflets should be sent or handed to all donors, who should be asked directly if they had read it.

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A meeting took place in Atlanta, US, amongst representatives of several NGOs, public health agencies and corporate stakeholders about the risk of AIDS transmission and steps to be taken in response.

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Dr Donald Francis sent a memo to Dr Jeff Koplan with recommendations for the prevention of AIDS.

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Dr Harold Gunson produced a report for the National Blood Transfusion Service Co-ordinating Committee, stating that the National Blood Transfusion Service saw its professional role as encouraging the minimum use of blood and blood products consistent with clinical need and patient safety.

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Minutes of a regional transfusion directors meeting recorded that, since 1946, cases of serum hepatitis had been reported to Dr Maycock on a special form. The meeting stressed the importance of reporting serum hepatitis, reactions to infected blood and all severe reactions to regional transfusion directors without delay.

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At a meeting between the CMO at the Ministry of Health and the Directors of the London depots "plans were put forward for a post-war blood transfusion service. It was agreed that there should be a nationwide service managed centrally by the Ministry of Health".

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In June 1940 it was recommended that regional blood depots should be established close to teaching or large district hospitals in big cities. These later became known as regional blood transfusion centres.

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Dr Gunson succeeded Dr Tovey as consultant adviser in 1981 and, in light of challenges in finding a "unified date" to implement HIV antibody testing, he was asked to submit proposals for a centrally funded and managed service.

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An investigation by DHSS Central Management Services in 1986 identified deficiencies in the NBTS and made the following three recommendations: do nothing, create a special health authority, retain management of RTCs by regional health authorities but with formal coordination of the work of RTCs.

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The devolution of budgets to districts proposed in the NHS and Community Care Act meant that RTCs had to recover their operating costs through reimbursement for products and services. RTCs had to work closely with hospitals receiving their products and services, leading to the National Directorate being marginalised.

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It was concluded that the NBA should directly manage the Blood Products Laboratory, International Blood Group Reference Laboratory and the RTCs.

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Dr Maycock was consultant adviser on blood transfusions to the Minister of Health from 1946 and chaired regular meetings of the regional transfusion directors.

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At a regional transfusion directors meeting, concern was raised by some regional transfusion directors "that money was not available for normal capital expansion of the service; expansion in any particular branch of work could only be carried out by economising in another branch of work".

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At a meeting of regional transfusion directors there was a unanimous view that a national effort needed to be made to improve research and development.

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A report recommended that a central committee for the NBTS be created.

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Officials from the Welsh Office, Scottish Home and Health Department and the Department of Health and Social Securities of Northern Ireland attended the meetings of the Advisory Committee of the NBTS as observers in the 1980s.

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The central committee for the NBTS first met.

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At a meeting of the regional transfusion directors it was recorded that regional health authorities "were still awaiting some general guidance on the National Blood Transfusion Service from DHSS".

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